Thursday, January 29, 2026

People!!


We have enjoyed getting to know and work with other "visitors"! Next to Susie are Mary and Mattie
who are 4th year med students from North Carolina. Mary will be going into Family Medicine and Mattie into Emergency Room medicine. At the end is Raymond, a CRNA (nurse anesthetist) who 
lives in Florida and does locum tenens work.


We met Atsou in 2007 when he was a high school
student. Now, he does logistics for the mission.


Dr. Patience is a 3rd year surgical resident from Rwanda.

Dr. Mba is a second year surgical resident from Cameroon who
is a new dad!


Susie discussing a patient with Nurse Reine in the clinic.

Florence is a retired guesthouse worker who took good
care of us on previous trips to HBB. She has a daughter
who lives in Kansas!!

Around the base....


Home sweet home! This is our guesthouse with 5 private rooms 
and a large dining/meeting room. Togolese staff prepare our meals.
Sunday evening church services are held here.

The outpatient clinic is named after Dr. Dave Clutts, a surgeon 
who trained in Grand Rapids many years ago!

The clinic consists of two buildings with about a dozen exam 
rooms. Around 5 rooms are for medical and pediatric patients
while the rest are for surgery and obstetrics. This is an afterhours picture - 
during the day, patients are everywhere!!!

The Rapha House is for short stays for outpatients who need
to be nearby for dressing changes or frequent labs. It is sort of 
like our Ronald McDonald House!


Near the entrance to the clinic are these signs which say
no smoking or urinating on the grounds!! There are plenty of 
latrines available!!

Togo - Geography and Weather!!












Togo lies near the Greenwich Prime Meridian and is about 7 degrees north of the Equator. It is surrounded by Ghana on the West, Benin on the East, and Burkina Faso on the north. The country is a sliver about 70 miles wide and 300+ miles long!!
















HBB is in southern Togo, just north of Mount Agou and the Hospital of Hope is in the far north at Mango.
























We are in the midst of "harmattan" which refers to the trade winds from the northeast that blow down over the Sahara Desert onto West Africa during dry season, bringing a lot of dust and making the skies hazy. The daily high temps here are in the mid 90s and the lows in the mid 70s. This is not as hot as northern Togo or Niger but we are nonetheless very thankful for the ceiling fans and the wall air conditioning unit that we run for 3 hours at bedtime! Here is the sunrise over the hills as we take our morning walk up the mountain -we can look directly at the sun in the haze!!





TOGO 2026!!


At the hospital entrance after a vigorous 3 mile walk!!

We are delighted to be back at l’Hôpital Baptiste Biblique, known as HBB or, more formally as Karolyn Kempton Memorial Hospital. This was the site of our first trip together in 2007, shortly after our retirement from American practice. We visited again in 2010, 2011, and 2020 and have been at the sister northern Togo hospital, the Hospital of Hope, in 2022 and 2024. Both of these are under the ministry of ABWE, the Association of Baptists for World Evangelism.

HBB was started in 1985 and is an acute care hospital of about 50 beds. There are about 140 national staff plus expats including surgeons and primary care physicians. Most of the nurses were trained onsite in a program started by a PhD level American nurse and the lab techs and radiology techs were trained by American techs, as well. We appreciate the digital xrays that can be viewed at the nurses’ station as well the lab results that are printed off at the station soon after they are completed – ie no running around to the lab and xray departments searching for results!! HBB has 2400 admissions each year and does 1600 surgeries. It is a site for the PAACS Program (Pan African Academy of African Physicians) which is a rigorous 5 year program in which African doctors learn surgery under the tutelage of American surgeons. There are 3 surgical trainees here now, from Cameron and Rwanda, and they share their time between the two Togo hospitals.

 The nursing station is the hub of activity each morning as we make our morning rounds. The nurses are diligent and provide excellent care. They also translate for us as we see the inpatients.  The pediatric ward is a large room with about 10 beds/cribs along the walls. There is a 4 bed “SI” for “soins intensif” or intensive care – these patients can be closely monitored.  

Nursing Station
   


Pediatrics Ward

                  








Intensive Care - we have Bipap available for patients in severe respiratory distress
and Dopamine infusions for those with overwhelming infection and drastically
low blood pressures.

The lab is well equipped and staffed by very good techs. Dave is especially happy that they can make good peripheral blood smears for review as he was a blood specialist in his American practice.

Laboratoire!

Wednesday, November 19, 2025

Farewell to Rwanda

 The initial draft of this post is being written as we are in our Kigali hotel room, waiting for the shuttle to take us to the airport for our Wednesday 9:30PM flight (to Entebbe, then Amsterdam, then Detroit, then to Grand Rapids) arriving home after a 27 hour journey!

Our last 10 days at Kibogora went quickly. We had a delightful but rigorous 7 mile roundtrip hike with 5 others to the shore of Lake Kivu where Susie and 4 others went for a swim.

We rode to Kigali this past Saturday and have enjoyed a few days of splendid Rwandan tourism! We had a 2 day tour planned and had an excellent driver who navigated the incredible traffic of downtown Kigali. We spent several hours at the Genocide Museum which was very emotionally moving – it is the final resting place of over 100,000 of the one million Tutsi and moderate Hutus who were killed in the 1994 genocide that lasted only 100 days. Pictures were not allowed inside the museum – all we can say is that it was very reminiscent of Yad Vashem Museum in Jerusalem or the Dachau concentration camp outside of Munich. The stunning cruelty of people towards each other was almost incomprehensible!

Then, after a 2 ½ hour drive to northern Rwanda, we arrived at the home of the mountain gorillas!! We had an overnight in a lodge reminiscent of those we have stayed in on Kenyan safaris and then, on Tuesday the 18th, we made the short drive to Volcanoes National Park where we joined a group of 6 others for a trek up the mountain in search of gorillas! After about an hour of very difficult uphill climbing over rocks, in mud, and over vines, our two guides told us that the gorilla family that we had been assigned to was nearby. Thankfully, we had hired porters not only to carry our backpacks but to give us a hand on the more difficult terrain. We were AMAZED by the gorillas. Lysenga was the dominant male, or silverback, of the family that we were with. He was joined by several females, juveniles, and babies. We were able to watch them for an hour. Lysenga was not bothered by our presence and almost seemed to be ignoring us. He sat about 15 feet away from us before plopping down six feet from us for a halfhour nap, not bothered by his children playing nearby.

Goodbye to our friend Dr. Pacifique.

A dip in Lake Kivu after a strenuous hike.




On a Sunday afternoon, a view showing a well-kept boulevard in Kigali. The roads were, in general, the best we have encountered in our African adventures.

Below, the weekday traffic in Kigali is very heavy with cars, buses, trucks, motorcycle taxis, and bicycles all vying for road space. Driving here takes nerves of steel!























At the Mountain Gorilla View Lodge with our excellent driver Danny.




















First sighting of 24 year old Lysenga, the silverback "boss" of his family of about a dozen gorillas.






















Lysenga seemed indifferent to our presence.






















 Here he is, striking his "I am the boss" pose. One of the other trekkers is close behind him.








After sitting about 15 feet from us, Lysenga casually walked over and plopped down for a nap about 6 feet from us. We were amazed!!!!!! Some family members joined him for naptime while a few younger kids played nearby.









Susie with one of our guides with the volcanos in the background. Our trek took us onto the hills on the left .




Farewell to our two excellent guides, Emmanuel and Christophe, who safely guided us to the gorillas and taught us many things about their behavior and habitat.

Wednesday, November 12, 2025

Eglise Methodiste Libre Au Rwanda (E.M.L.R.)

 Kibogora Hospital is a ministry of the Free Methodist Church of Rwanda. Just outside the hospital gate is the local church which we have attended. It is a large building with a sanctuary that seats somewhere around 600-700 people. Sunday services start around 9 AM, are packed, and go for about three hours. The first hour consists of three choirs that rotate onto the stage with wonderful singing and swaying to the music; the words are projected onto two screens in Rwandan for the congregation. We don’t understand what they are singing but just enjoy this joyful aspect of African worship. We sit in the back and leave after the singing, since there is no translation of the pastoral message.

There is a separate English language service Sunday afternoon that is attended by around 25 folks. On our first Sunday there, one of the pastors, whom I (Dave) had never met, came up to me and asked me to “preach” two weeks hence! I guess he chose me due to my gray hair or something. I did enjoy talking/teaching (not preaching!) about First and Second Timothy regarding the ministry and management of the local church!

After one of the services, we met several young men from Sudan who were visiting. Also, we met and have spent time with other short-term visitors including nurse Shannon from North Carolina and three Canadians from Calgary: Scott an engineer, his wife Bethany a nurse, and her sister Jessica also a nurse. 



View from back of the sanctuary.












One of the joyful choirs!















Visiting after the English service



                                                                                                                                         







    


With two Sudanese visitors and a pastor.

Guest "preacher"




















Walking home after church:
Susie, Shannon, Scott, Bethany, and Jessica

Thursday, November 6, 2025

Morning Walk

 Three or four mornings each week, we enjoy a 40 minute walk to the nearby town. The road is very hilly and affords wonderful vistas. Across the valley, we can see the hospital, Lake Kivu, and even the Congo in the distance. At 7 AM, the sidewalks are filled with students in their various uniforms, headed to several nearby schools.  Vendors and stores are mostly closed at that hour but construction projects have begun. Men carry heavy bags of concrete on the back of their bicycles, pushing the bikes up the steep hills – amazing!!

On Saturdays, we walk a bit later and have been able to visit the small “supermarket” which is more like a small 7/11 as well as a pharmacy where drugs are sold over the counter without a prescription – we picked up some inexpensive doxycycline which we will use on future trips for malaria prevention! The highlight of Saturday’s walk is the market with many covered booths selling produce and fruit of all kinds, beans and rice, and many types of flipflop shoes that seem to be very popular here.

The people here are very friendly, especially the children who greet us as we walk.


   

                                                                                  

  


  We pass by two or three schools and each has its own uniform. The children are delightful and call out "Good morning" to practice their English!                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               






Saturday market day is a flurry of activity. The vendors were reluctant to have their pictures taken so we had to be subtle!!

This is a vegetarian and fruit lovers paradise!!!








       

Motorcycles are lined up just outside of the market in case anyone needs a lift!

We see many partially completed construction projects along the way. We don't know if there are building codes and inspectors!!







.... uphill on a one speed bike!!!!
                                                                                                                                                   






The walk home is a long steep uphill that leaves us huffing and puffing if we take it quickly. Kibogora is at 5000 feet above sea level which is about the same as Denver, Colorado!